Fillable Faculty-Led Study Abroad Program Proposal Form (Brookdale Community College)

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Faculty-Led Study Abroad Program Proposal Form (Brookdale Community College)

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International Education Center
Phone: 732-224-2799 // Fax: 732-224-2980
international@broodalecc.edu
Faculty-Led Study Abroad Program Proposal Form
Program Title:
Program Site (City and Country):
Faculty Leader:
Home e-mail:
Home Phone:
Cell Phone:
Proposed Program Dates: (attach proposed itinerary & syllabus)
Course(s) to be offered:
Brief description of course(s) (include course objectives and how the objective(s) will be
accomplished with the inclusion of an overseas component).
Participant pre-requisites (content knowledge and/or language proficiency):
Most of the planning for summer programs will occur during June and July of the
preceding year. You must be available via email, phone or in person to finalize itinerary
and cost.
Your signature below certifies that you have read the program proposal handbook and
that you understand expectations of group leader.
Faculty Signature: ________________________________ Date: _______________
Department Chair Signature: ___________________________ Date: _____________
Dean Signature: ______________________________________ Date: ____________
IEC Recommendation
IEC Signatures: _____________________________________ Date: _________
Faculty-Led Study Abroad Proposal Form
Revised 3/2014
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International Education Center
Phone: 732-224-2799 // Fax: 732-224-2980
international@broodalecc.edu
Summary of Faculty Member/Group Leader Qualifications
Current Position at Brookdale:
Number of years of employment at Brookdale:
1. List degrees that you hold and in what field:
2. List any languages that you speak and write fluently:
3. List any international experience (academic, work, or travel) you have, specifying
location and duration of visit:
4. List any experience you have teaching a course abroad, leading a travel program
abroad, leading student groups in the United States, and/or working in international
education.
5. Describe any experience you have in handling crisis or emergency situations in the
United States or abroad.
Faculty-Led Study Abroad Proposal Form
Revised 3/2014
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Faculty-Led Study Abroad Program Proposal Form (Brookdale Community College)

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Completed 26 July 2020

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